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PATHOLOGY REPORT-LENTIGO ATYPIA
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PATHOLOGY REPORT-LENTIGO ATYPIA

› Forums › General Melanoma Community › PATHOLOGY REPORT-LENTIGO ATYPIA

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    • November 28, 2017 at 10:24 pm
    1Cbras
    Participant
      So,after two weeks I received my biopsy report. It determined a lesion on my foot to be LENTIGO ATYPIA. The doctor said because the margins are clear no further treatment is required. What exactly is LENTIGO atypia?
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        • November 29, 2017 at 3:43 pm
        Janner
        Participant

          Without more info from the path report, all we can say is "lentigo = freckle" and atypia = some degree of atypical cells, but not enough atypia to be melanoma.  Weird freckle.

            • November 29, 2017 at 7:51 pm
            1Cbras
            Participant
              Here is the entire report…thanks…

              Final PATH
              AP results

              ————————————————————
              FINAL PATHOLOGY REPORT

              • November 29, 2017 at 7:53 pm
              1Cbras
              Participant
                Final PATH
                AP results

                ————————————————————
                FINAL PATHOLOGY REPORT
                DIAGNOSIS
                LEFT FOOT BIOPSY:
                LENTIGO WITH ATYPIA, COMPLETELY EXCISED

                COMMENTS: MULTIPLE LEVELS HAVE BEEN OBTAINED. THIS CASE HAS ALSO BEEN REVIEWED BY 2 DERMATOPATHOLOGISTS.

                ————————————————————
                Surgical Site: Other(specify below); left foot plantar aspect
                Operative Procedure: Other(specify below); excision
                Clinical Information: skin lesion
                ————————————————————
                GROSS EXAMINATION
                the specimen is received in 10% neutral buffered formalin labeled “left foot” and consists of one piece of tan-gray ellipse of skin with a suture marking at the 12:00 margin. the specimen measures 2.2 x 1.3 x 0.5 cm. The specimen has a light brown flat lesion in the center measuring 0.5 x 0.4 cm. The 3:00 margin is inked blue. the 9:00 margin is inked yellow. the specimen is serially sectioned from the 12:00 margin to the 6:00 margin. the specimen is entirely submitted in cassettes 1A through 1H. PD

                Summary of sections:
                1A= 2 tips (12:00 margin)
                1B thorugh 1G= 1 piece each (center sections)
                1H= 2 tips (6:00 margin)

                Electronically Signed 11/28/2017 1:16 PM
                Geraldine Mercer,MD
                Pathologist

                CPT Codes: 88305

                RESULT NOTE Surg02: Op Procedure? : Other(specify below) excision
                Surg04: Clinical information? : skin lesion

                • November 29, 2017 at 8:46 pm
                Janner
                Participant

                  The full report isn't any more illuminating.  It describes the sample but not the atypia.  I was looking to see if there were any description of the type of atypia (cellular or architectural) or any degree (mild, moderate, severe).  Often found in reports but not yours.  You just get to go with the final diagnosis and what I said before doesn't change.

                  • November 29, 2017 at 11:01 pm
                  1Cbras
                  Participant
                    Thanks. So, now I’m torn. I have at least two other weird lesions on the same foot…not as weird as the one removed but weird…and smaller…should I get at least a punch biopsy (to avoid recovery time for removal) or should I just photograph and watch? Thoughts? Thanks…
                    • November 30, 2017 at 12:34 am
                    Janner
                    Participant

                      Having multiple that are similar actually makes things less likely they are concerning.  You are really looking for the ugly duckling – the lesion that stands out because it is different.  Me?  I'd photograph and watch for change.  That's what I've always done and I'm still stage I 25 years later (with 3 primaries).  I really don't biopsy without reason.  You have to do what makes sense to you.

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